MIRABELLI, MAURIZIO
NPI: 1235268434
· PORT HURON, MI 48060
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/05/2007
$195K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,037 |
$126K |
| 2019 |
622 |
$62K |
| 2020 |
80 |
$6K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
199 |
108 |
$55K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
445 |
412 |
$50K |
| D9222 |
|
393 |
392 |
$44K |
| D0140 |
Limited oral evaluation - problem focused |
660 |
657 |
$40K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
30 |
15 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$219.13 |